Individual provider Active NPI

Kiranpreet Narain

  • Pediatric Dentistry
  • Stratford, CT
National Provider Identifier
1104359850
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12189 Issued in CT
Practice address
2900 Main St Ste 2E
Stratford, CT 06614-4946
Phone
(203) 687-5420
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 12189 CT Primary

Addresses

Primary practice location

2900 Main St Ste 2E
Stratford, CT 06614-4946

Mailing address

137 Sunflower Ave
Stratford, CT 06614-2711
Phone (203) 687-5420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12189CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Seaside Orthodontics PLLC Current Accepting new patients
Pediatric Smiles LLC Pediatric Dentistry CurrentSince Jan 22, 2023 Accepting new patients

Locations

2900 Main St
Ste 2E
Stratford, CT 06614
Phone (203) 375-9063

Interoperability endpoints

  • Direct secure messaging: knarain662536@direct.ynhh.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1104359850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 SUNFLOWER AVE",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066142711",
            "telephone_number": "203-687-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 MAIN ST STE 2E",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144946",
            "telephone_number": "203-687-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARAIN",
        "first_name": "KIRANPREET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "12189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.